From:

Suite 5A-1204
123 Somewhere Street
Your City AZ 12345

admin@elverdedentalbraces.vivabraces.com

Invoice Number INV-0096
Invoice Date January 16, 2020
Total Due $630.00
To:
Brendaliz Burgos Velez
Hrs/Qty Service Rate/PriceAdjustSub Total
1 BROKEN BRACKETS $750.000.00%$750.00
Sub Total $750.00
Tax $0.00
Paid -$120.00
Total Due $630.00

Pago Manual